Stress Clinical Trial
Official title:
Effects of a Maternal-Infant Exercise Program on Body Composition, Stress, Fatigue, and Attachment in Postpartum Women:A Randomized Control Trial
The aim of this study is to explore the effectiveness of the intervention measures of the "Maternal-Infant Exercise Program" to improve the postpartum women's body composition, stress, fatigue and parent-child attachment.
Background:
In Taiwan, more than 50% of maternal women will encounter obesity problems, because they have
to take care of newborns, lack of proper exercise, and the traditional concept of confinement
leads to excessive dietary supplementation, basal metabolic rate decline, and insufficient
exercise. In addition to the physical changes after birth, women also face the change of the
role of mothers. Caring for newborns is almost 24 hours on standby, gradually forming stress
and fatigue. Stress may make postpartum women unable to perform the tasks of mothers. Makes
postpartum women feel physiologically and psychologically uncomfortable. Both stress and
fatigue have an adverse effect on their health, and are not conducive to parent-child
attachment. However, early postpartum mothers and infants are almost inseparable. This period
of attachment often affects infants' interpersonal relationships and emotions, if the
relationship is not harmonious, may cause deviations in the baby's future behavior. Many
studies have pointed out that moderate exercise can not only reduce the fatigue of postpartum
women but also help to restore physical strength, help the recovery of organs and body,
maintain physical health and weight management. However, busy with baby care and lack of
continuous exercise often lead to postpartum women unable to reduce body weight. Therefore,
this study hopes to develop a "Maternal-Infant Exercise Program" to improve the postpartum
women's body composition, stress and fatigue, and to improve the attachment relationship
between parents and their infants.
Purposes:
Explore the effectiveness of the intervention measures of the "Maternal-Infant Exercise
Program" to improve the postpartum women's body composition, stress, fatigue and parent-child
attachment.
Method:
In this study, a longitudinal and long-term follow-up randomized controlled trial study was
adopted. The case was collected in a postpartum ward and an obstetrics and gynecology clinic
of a medical center in the north Taiwan. The mothers who met the conditions for sample
selection were selected as the research object. There are two different intervention modes
(intervention group and control group), the intervention group is a Maternal-Infant Exercise
Program, and the control group receives routine postpartum exercise nursing guidance. There
are 50 people in each group. It is estimated that 100 healthy women with vagina postpartum
will be collected. The questionnaires and physiological measurements are used to collect and
aggregate the data. The main research variables are the Maternal-Infant Exercise Program, and
the dependent variables are the postpartum women's body composition, stress, fatigue and
parent-child attachment. The body composition of postpartum women is measured using a body
fat meter, postpartum stress is measured using a Perceived Stress Scale(PSS), postpartum
fatigue is measured using a Modified Fatigue Symptoms Checklist(MFSC), and the parent-child
attachment relationship is measured using the Maternal Attachment Inventory(MAI). The two
groups will collect data at one month, two months and three months after delivery, including
body composition measurement and filling in each scale. The analysis method of the research
data will use SPSS version 22.0 software, using chi-square test, independent sample t test ,
Pearson correlation, generalized estimation equations for discussion of results.
Result:
This study expects to understand the current status of postpartum women's body composition,
stress, fatigue, and parent-child attachment. It is expected that parent-child exercise
programs will improve postpartum women's body composition, as well as improve stress,
fatigue, and enhance parent-child attachment.
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